Document Detail


Hypervitaminosis a in early human pregnancy and malformations of the central nervous system.
MedLine Citation:
PMID:  665178     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case of malformations of the fetal central nervous system following hypervitaminosis A in early pregnancy is reported. The mother was treated with 150 000 IU vitamin A daily during gestation days 19 to 40. Determination of urinary oestriol carried out in the 42nd week of pregnancy revealed a very low excretion (4.2-6.6) mumol/24 h). Induced delivery resulted in a microcephalic child who died after 18 min. The child had multiple malformations of the central nervous system and very small adrenal glands (1.5 g; normal 11 +/- 4 g). The very low urinary oestriol excretion is well explained by the hypoplastic adrenals, which in turn can be related to insufficient ACTH stimulation, a condition similar to anencephaly. The malformations shown in the present case are considered to be related to the high doses of vitamin A given to the mother, and the authors wish to warn against uncritical use of high doses of vitamin A in whomen of childbearing age.
Authors:
L Stånge; K Carlström; M Eriksson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  57     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  1978  
Date Detail:
Created Date:  1978-08-14     Completed Date:  1978-08-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  289-91     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / chemically induced
Adrenal Glands / abnormalities
Adult
Estriol / urine
Female
Humans
Maternal-Fetal Exchange
Microcephaly / chemically induced*
Placenta / enzymology
Pregnancy
Pregnancy Complications*
Sulfatases / metabolism
Vitamin A / adverse effects*
Chemical
Reg. No./Substance:
11103-57-4/Vitamin A; 50-27-1/Estriol; EC 3.1.6.-/Sulfatases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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